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Scleral Buckle Intrusion320 views85 year old woman with 35 year old scleral buckle in the left eye. Her vision has been gradually declining with increasing uveitis and finally a scleral buckle intrusion. Over about 18 months the eye became painful with NLP vision and ultimately was removed.
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Scleral Buckle Intrusion320 views85 year old woman with 35 year old scleral buckle in the left eye. Her vision has been gradually declining with increasing uveitis and finally a scleral buckle intrusion. Over about 18 months the eye became painful with NLP vision and ultimately was removed.
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Central Serous Chorioretinopathy in a child320 views12-year-old African American Female A few weeks ago she felt like something was covering the right eye and she couldn't see well. She was told that she had a swollen optic nerve. She had a recent diagnosis of sinus infection. She also recently had onset menarche on August 7th. Eye problem started about a week before menarche. She's been getting some headaches, partly because of sinus infection. They started about a month ago and now are getting better. She is on zytrhomax for the sinus problem. Patient is hypothyroid and is on thyroid supplementation and that has been stable. She has no eye pain.
MEDS: Synthroid, Flonase
PMHx - Thyroid Disease
VA OD: Dcc20/400 PH20/125 NccJ10
VA OS: Dcc20/20 NccJ1+
IOP: TP: OD:14 OS:21
Macular detachments resolved in 1 month with no treatment and vision returned to 20/20 in one month and 20/16 in 2 months
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Retinal Arterial Macroaneurysm treated with Laser320 views89 year old female with peripapillary CNVM treated with Lucentis. Vision was 20/25 OS 3 weeks ago. She noticed vision loss OS. Vision had dropped to 20/60. She had a fresh MA and was treated with laser.
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Granulomatous Uveitis - Probable Sarcoid320 views28 year old white man with red-itch eyes and decreased vision for 3 months.
VA OD: 3/200 OS: 20/20
Right eye: granulomatous KP, trace cell, posterior synechiae and iris nodule,
Left eye: cicatricial upper lid changes, eye is quiet
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Retinal detachment with choroidal effusions and RPE tear320 views83 year old man with chronic glaucoma presented with 10 days of vision loss in the left eye and a retinal detachment. He also has choroidal effusions and and RPE tear. He had a history of bladder cancer in remission. I did a biopsy of the choroidal lesions at the time of surgery which showed no cancer. Initial vision was HM and final vision was 20/80. The choroidal effusions may have occurred because of his age and prior history of glaucoma.
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Cilioretinal Artery Occlusion - non central320 views81 year old female She noticed sudden vision loss in the right eye just before Christmas while watching television. This was about one week ago. She noticed when she closed her left eye and looked out of her right eye there was a darkness in the vision. The left eye is OK. She has no history of stroke and no neurological problems. She had a few headaches recently but they went away. Â
PMHx: HTN, Breast Cancer
Meds: HCTZ, Atorvastatin, Atenolol, Anastrozole
VA 20/80 OD, 20/32 OS
VA improved to 20/40 in one month in the involved eye
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Cilioretinal Artery Occlusion - non central320 views81 year old female She noticed sudden vision loss in the right eye just before Christmas while watching television. This was about one week ago. She noticed when she closed her left eye and looked out of her right eye there was a darkness in the vision. The left eye is OK. She has no history of stroke and no neurological problems. She had a few headaches recently but they went away. Â
PMHx: HTN, Breast Cancer
Meds: HCTZ, Atorvastatin, Atenolol, Anastrozole
VA 20/80 OD, 20/32 OS
VA improved to 20/40 in one month in the involved eye
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Combined hamartoma of the retina and retinal pigment epithelium320 views8 year old boy failed vision screening at school. VA 20/20 OD, 20/40 OS
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Acute Syphilitic Posterior Placoid Chorioretinitis320 views40 year old man About 10 days ago the patient woke up with a dark circle in the middle of the left eye that blocks his vision. He thought it might be from fatigue. The month of March was very stressful. After a few days the spot in the left eye got darker and he could not drive at night. During the last week while not going to work and sleeping more his vision is better but not normal. He has never had vision loss in the past. Â
PMHx: Benign, Meds: Multivitamin
VA OD: sc20/16 NscJ1+VA OS: sc20/32+2 NscJ4
IOP: TP: OD:12 OS:12
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Stage V (neovascular) Macular Telangiectasia - Fluorescein320 views67 year old female with vision in only the left eye. She has mild CNVM which is treated with Avastin and does well over several years.
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Stage V (neovascular) Macular Telangiectasia - Fluorescein320 views67 year old female with vision in only the left eye. She has mild CNVM which is treated with Avastin and does well over several years.
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Branch Retinal Vein Occlusion and worsened cystoid macular edema following cataract surgery320 views51 year old female The patient noticed gradual vision loss in both eyes starting possibly after her last cataract surgery in May of 2022 (3 months ago). She had ECCE 3/2022 OD and 5/2022 OS. She does not have diabetes. She had glaucoma shunts placed about 2017. She has been on latanoprost and timolol. She is now getting ready to start Combigan and Bromfenac. She is also staring xidra for dry eye. She stopped the latanorpost on 8/15/22. She has had macular edema before for which she had intraocular injections which worked. She has had no injections lately. When she was getting treated for macular edema in the past she had an IOP of 60.
Medical Hx: Hypertension, Systemic. Glaucoma. Arthritis. Vertigo. Stroke.
Systemic Meds: Trimfya. NAPROXEN. LISINOPRIL.
VA OD: sc20/63-1
VA OS: sc20/50
IOP: TP: OD:12 OS:12
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Choroidal Hemorrhage following intraocular lens exchange surgery320 views68 year old man Patient is 1 week post IOL exchange with sutured Akreos PCIOL with PST Kenalog. IOP was 12 on POD 1 and 21 today (POD 7). Preop the IOP was 17.
He has a history of retinal detachment repair 12 years ago with PPV, Buckle, Laser and Gas.
VA OD: 20/200, OS: 20/50. IOP 21, 19
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Choroidal Hemorrhage following intraocular lens exchange surgery320 views68 year old man Patient is 1 week post IOL exchange with sutured Akreos PCIOL with PST Kenalog. IOP was 12 on POD 1 and 21 today (POD 7). Preop the IOP was 17.
He has a history of retinal detachment repair 12 years ago with PPV, Buckle, Laser and Gas.
VA OD: 20/200, OS: 20/50. IOP 21, 19
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Schlaegel lines320 views
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Best Disease320 views30 year old man vision 20/40 OD, 20/20 OS - strong family history
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Branch Retinal Vein Occlusion - Foveal Ischemia Neovascularization Non perfusion320 views38 year old patient with a BRVO who had PRP laser for vitreous hemorrhage. Vision remained 20/160 from foveal ischemia
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central retinal vein occlusion - a lot of hemorrhage - on coumadin320 views84 year old man with severe vision loss left eye for 2 weeks. VA 5/200 OS - Patient on Warfarin for valve replacement.
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Familial Exudative Vitreoretinopathy - FEVR - Stage 1-b both eyes319 viewsShe was born at term.   No family history of eye disease.
VA OD: Dcc20/25, VA OS: Dcc20/200+1 Ncc20/400
Anterior segment normal – clear lenses
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Coats' Disease - 8-year-old boy - Asymptomatic319 viewsNormal vision - Lesion picked up on examination
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Punctate Inner Choroidopathy and Choroidal Neovascular Membrane (CNVM)319 views24 year old female She was doing fine until 4 days ago when the right eye fogged up on her. The left eye is seeing fine. In the end of January (3 months ago) she went to the doctor and got checked for everything and it was negative. She had a bad cough at the time and no fevers that she knows of. Â
VA OD: sc20/200+1, VA OS: sc20/25 - Uveitis work up was negative. VA improved to 20/40 with a single avastin treatment and then the patient was lost to follow-up
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Punctate Inner Choroidopathy and Choroidal Neovascular Membrane (CNVM)319 views24 year old female She was doing fine until 4 days ago when the right eye fogged up on her. The left eye is seeing fine. In the end of January (3 months ago) she went to the doctor and got checked for everything and it was negative. She had a bad cough at the time and no fevers that she knows of. Â
VA OD: sc20/200+1, VA OS: sc20/25 - Uveitis work up was negative. VA improved to 20/40 with a single avastin treatment and then the patient was lost to follow-up
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Wet age-related macular degeneration - Classic Juxtafoveal Choroidal Neovascular Membrane319 views80 year old female with mild vision loss. 20/40 OD, 20/25 OS. Avastin controlled disease. VA improved to 20/25 after 2 injections. At 1 year she is getting every 2 months treatment
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Wet age-related macular degeneration - Classic Juxtafoveal Choroidal Neovascular Membrane319 views80 year old female with mild vision loss. 20/40 OD, 20/25 OS. Avastin controlled disease. VA improved to 20/25 after 2 injections. At 1 year she is getting every 2 months treatment
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Pregnant - 25 weeks - new onset PDR and DME both eyes - Treated with PRP and ozurdex319 views29 year old female. Patient is 25 weeks pregnant and having flare up of retinopathy in both eyes. She states it is worse in the left. Patient has trouble with distant vision. At most recent visit, 1 years ago, VA was 20/20 OU. Two years ago anterior uveitis x 1 episode with normal labs (HLAB27, FTA, ACE, Lyme). 2017-2020 – Lucentis for DME left eye only.
PMHx: Type I DM since teenager, hyperlipidemia
BP was normal
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Sectoral Retinitis Pigmentosa - Asymptomatic319 views56-year-old female - The patient was in for an annual checkup because of her diabetes. No visual complaints (no night vision trouble)
PMHx DM sine 2015, Asthma, Thyroid Disease, HTN
MEDS: Metformin, Levothyroxine, Lisinopril,, Inhaler
ROS Negative
VA OD: sc20/32-1 VA OS: sc20/32-1
IOP: TP: OD:18 OS:17
293 Invitae genetic panel - negative
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Macular Scars from Presumed Ocular Histoplasmosis Syndrome319 views85 year old man
He sometimes sees double vision. When he sees people walking they are sometimes double for about 6 months.
VA OD: sc20/25 PH20/20 NccJ3
VA OS: sc20/20-2 NccJ2
IOP: TP: OD:12 OS:14
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Macular Scars from Presumed Ocular Histoplasmosis Syndrome319 views85 year old man
He sometimes sees double vision. When he sees people walking they are sometimes double for about 6 months.
VA OD: sc20/25 PH20/20 NccJ3
VA OS: sc20/20-2 NccJ2
IOP: TP: OD:12 OS:14
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Bilateral Diffuse Melanocytic Proliferation (BDUMP)319 views67 year old man
The patient started noticing dimming of the vision in November of 2020. He had rapidly worsening cataracts. He had the cataract surgery done in both eyes in April of 2021. The vision did not improve with the cataract surgery. On June 1 of 2021 he had immunotherapy for his renal cell carcinoma and then developed severe vision loss. The patient noticed that one of the commercials for nivolumab (checkpoint inhibitor targeting programmed death receptor-1) said it may cause vision loss. He recalled that he started the nivolumab in October of 2020 and had vision loss starting then.  A retinal evaluation showed subretinal fluid and vision loss.  The peripheral vision and central vision were pretty good. The vision did seem to get better off the nivolumab. Then when the patient returned to Florida in September and now the vision is getting worse. The patient did not have any treatments in either eye. The patient is now off the oncology treatment. He was then started on a TKI cabometex for the cancer which was dosed in mid June through mid July just for a month. It was stopped because of a skin rash and reactions. Â
VA OD: Dcc20/200-2 PHNI Ncc20/800
VA OS: Dcc20/63 PHNI NccJ7 He has been off the checkpoint inhibitor for a year.
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Bilateral Diffuse Melanocytic Proliferation (BDUMP)319 views67 year old man
The patient started noticing dimming of the vision in November of 2020. He had rapidly worsening cataracts. He had the cataract surgery done in both eyes in April of 2021. The vision did not improve with the cataract surgery. On June 1 of 2021 he had immunotherapy for his renal cell carcinoma and then developed severe vision loss. The patient noticed that one of the commercials for nivolumab (checkpoint inhibitor targeting programmed death receptor-1) said it may cause vision loss. He recalled that he started the nivolumab in October of 2020 and had vision loss starting then.  A retinal evaluation showed subretinal fluid and vision loss.  The peripheral vision and central vision were pretty good. The vision did seem to get better off the nivolumab. Then when the patient returned to Florida in September and now the vision is getting worse. The patient did not have any treatments in either eye. The patient is now off the oncology treatment. He was then started on a TKI cabometex for the cancer which was dosed in mid June through mid July just for a month. It was stopped because of a skin rash and reactions. Â
VA OD: Dcc20/200-2 PHNI Ncc20/800
VA OS: Dcc20/63 PHNI NccJ7 He has been off the checkpoint inhibitor for a year.
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Granulomatous Uveitis - Probable Sarcoid319 views28 year old white man with red-itch eyes and decreased vision for 3 months.
VA OD: 3/200 OS: 20/20
Right eye: granulomatous KP, trace cell, posterior synechiae and iris nodule,
Left eye: cicatricial upper lid changes, eye is quiet
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Retinal Detachment with Choroidal Effusion post-PPV-Buckle-Biopsy319 viewsThe patient was 20/80 8 months post-op
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Severe Syphilitic Placoid Chorioretinitis319 views68 year old man 3 months ago the vision started fading in both eyes. Just sitting here he can see some light out of his right eye. The patient denies any recent illness or travel.
VA: OD: LP, OS: 4/200
IOP: 9, 13
Anterior segment: 1+ cell/ 2+ flare OU and 2+ NS and anterior vitreous cells
Labs Reactive RPR 1:256, FTA-ABS - reactive - Patient was admitted to hospital for IV PCN and recovered vision almost completely in the left eye and some in the right eye.
See line scans for recovery
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Severe Syphilitic Placoid Chorioretinitis319 views68 year old man 3 months ago the vision started fading in both eyes. Just sitting here he can see some light out of his right eye. The patient denies any recent illness or travel.
VA: OD: LP, OS: 4/200
IOP: 9, 13
Anterior segment: 1+ cell/ 2+ flare OU and 2+ NS and anterior vitreous cells
Labs Reactive RPR 1:256, FTA-ABS - reactive - Patient was admitted to hospital for IV PCN and recovered vision almost completely in the left eye and some in the right eye.
See line scans for recovery
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Combined hamartoma of the retina and retinal pigment epithelium319 views8 year old boy failed vision screening at school. VA 20/20 OD, 20/40 OS
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Punctate inner choroidopathy and CNVM319 views23 year old female noticed vision loss for 4 days.
VA 20/200 OD, 20/25 OS.
VA improved one month later to 20/40 with Avastin. She received a second injection and was lost to follow-up
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Acute Syphilitic Posterior Placoid Chorioretinitis319 views40 year old man About 10 days ago the patient woke up with a dark circle in the middle of the left eye that blocks his vision. He thought it might be from fatigue. The month of March was very stressful. After a few days the spot in the left eye got darker and he could not drive at night. During the last week while not going to work and sleeping more his vision is better but not normal. He has never had vision loss in the past. Â
PMHx: Benign, Meds: Multivitamin
VA OD: sc20/16 NscJ1+VA OS: sc20/32+2 NscJ4
IOP: TP: OD:12 OS:12
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Optic Disc Melanocytoma - Atypical319 views45 year old female with normal vision and optic nerve lesion in the left eye. VA 20/16 OU. Extensive testing was normal including brain and orbit MRI. The lesion has been stable for 5 years.
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Uveitis Glaucoma Hyphema (UGH) syndrome319 views65 year old female with intraocular lens half in the sulcus, iris atrophy, and recurrent uveitis since cataract surgery. She has a mild case and has been managed with topical steroids as needed.
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Cilioretinal artery occlusion following cataract surgery319 views60 year old man noticed new scotoma in the right eye immediately after cataract surgery. Vision is 20/60
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Macular pucker in the left eye319 viewsVision was 20/125 pre-op and 20/25 post-op.
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Macular telangiectasia - images from 10 years later - crystals 319 views75 year old man with MacTel and a lot of crystals VA 20/63 OD, 20/50 OS.
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Traction retinal detachment both eyes. Proliferative Diabetic Retinopathy318 views40 year old man came in with vision loss OD and rubeosis in both eyes. Was treated with Avastin monthly and laser OD then lost to follow-up for 6 months. Came back with table top traction in the left macula (second set of images). Vision had dropped OS from 20/20 to HM. He had PPV ERM peel OS and vision improved to 5/200.
OD stabilized to 20/20 with PRP laser. Now on 6 month checks.
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Traction retinal detachment both eyes. Proliferative Diabetic Retinopathy318 views40 year old man came in with vision loss OD and rubeosis in both eyes. Was treated with Avastin monthly and laser OD then lost to follow-up for 6 months. Came back with table top traction in the left macula (second set of images). Vision had dropped OS from 20/20 to HM. He had PPV ERM peel OS and vision improved to 5/200.
OD stabilized to 20/20 with PRP laser. Now on 6 month checks.
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Traction retinal detachment both eyes. Proliferative Diabetic Retinopathy318 views40 year old man came in with vision loss OD and rubeosis in both eyes. Was treated with Avastin monthly and laser OD then lost to follow-up for 6 months. Came back with table top traction in the left macula (second set of images). Vision had dropped OS from 20/20 to HM. He had PPV ERM peel OS and vision improved to 5/200.
OD stabilized to 20/20 with PRP laser. Now on 6 month checks.
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Familial Exudative Vitreoretinopathy - FEVR - Stage 1-b both eyes318 viewsShe was born at term.   No family history of eye disease.
VA OD: Dcc20/25, VA OS: Dcc20/200+1 Ncc20/400
Anterior segment normal – clear lenses
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Wet age-related macular degeneration - Classic Juxtafoveal Choroidal Neovascular Membrane318 views80 year old female with mild vision loss. 20/40 OD, 20/25 OS. Avastin controlled disease. VA improved to 20/25 after 2 injections. At 1 year she is getting every 2 months treatment
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Choroidal Neovascular Membrane (CNVM) secondary to laser scar from TTT for choroidal melanoma 20 years earlier318 views71-year old female - Vision loss in the right eye for 1 week. She had transpupillary thermotherapy 20 years ago in the right eye for choroidal melanoma.
VA 4/200 OD, 20/20 OS
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Bilateral Diffuse Melanocytic Proliferation (BDUMP)318 views67 year old man
The patient started noticing dimming of the vision in November of 2020. He had rapidly worsening cataracts. He had the cataract surgery done in both eyes in April of 2021. The vision did not improve with the cataract surgery. On June 1 of 2021 he had immunotherapy for his renal cell carcinoma and then developed severe vision loss. The patient noticed that one of the commercials for nivolumab (checkpoint inhibitor targeting programmed death receptor-1) said it may cause vision loss. He recalled that he started the nivolumab in October of 2020 and had vision loss starting then.  A retinal evaluation showed subretinal fluid and vision loss.  The peripheral vision and central vision were pretty good. The vision did seem to get better off the nivolumab. Then when the patient returned to Florida in September and now the vision is getting worse. The patient did not have any treatments in either eye. The patient is now off the oncology treatment. He was then started on a TKI cabometex for the cancer which was dosed in mid June through mid July just for a month. It was stopped because of a skin rash and reactions. Â
VA OD: Dcc20/200-2 PHNI Ncc20/800
VA OS: Dcc20/63 PHNI NccJ7 He has been off the checkpoint inhibitor for a year.
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Asymptomatic exudative wet age-related macular degeneration318 views78 year old man with scar in the left eye being treated regularly and returns with new lesions in the right eye which is not symptomatic. Vision is 20/25 right eye and 20/125 left eye. The lesion was treated and responded to anti-VEGF therapy
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Retinal detachment with choroidal effusions and RPE tear318 views83 year old man with chronic glaucoma presented with 10 days of vision loss in the left eye and a retinal detachment. He also has choroidal effusions and and RPE tear. He had a history of bladder cancer in remission. I did a biopsy of the choroidal lesions at the time of surgery which showed no cancer. Initial vision was HM and final vision was 20/80. The choroidal effusions may have occurred because of his age and prior history of glaucoma.
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318 views
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Acute Syphilitic Posterior Placoid Chorioretinitis318 views40 year old man About 10 days ago the patient woke up with a dark circle in the middle of the left eye that blocks his vision. He thought it might be from fatigue. The month of March was very stressful. After a few days the spot in the left eye got darker and he could not drive at night. During the last week while not going to work and sleeping more his vision is better but not normal. He has never had vision loss in the past. Â
PMHx: Benign, Meds: Multivitamin
VA OD: sc20/16 NscJ1+VA OS: sc20/32+2 NscJ4
IOP: TP: OD:12 OS:12
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Severe diabetic tractional retinal detachment one year following diagnosis of type II Diabetes Mellitus318 views44 year old man The vision in the left eye started to decline about 4 days ago. Prior to that the left eye was the better eye. He was diagnosed with diabetes a year ago.Â
VA OD: Dcc20/50-1 OS: Dcc20/125-2, TP: OD:12 OS:13
Following two surgeries in each eye, silicone oil remaining forever, monthly anti-VEGF for severe DME - BCVA OU 20/200 at 3 years
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Oculocutaneous albinism318 views62 year old female. Testing shows an absence of a fovea. Vision was 20/50 and she has nystagmus.
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Cilioretinal artery occlusion following cataract surgery318 views60 year old man noticed new scotoma in the right eye immediately after cataract surgery. Vision is 20/60
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BRVO with late onset venous macroaneurysm318 viewsThe vision improved on presentation from 20/160 - 20/32 with Avastin, Then a few years later, he developed a venous Macroaneurysm which was lasered . Avastin shots were then stopped.
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Macular ischemia left eye in type I diabetic (enlarged foveal avascular zone)318 views29 year old female with type I diabetes since age 5. Left eye has enlarged FAZ with vision of 20/20 OD and 20/60 OS. Both eyes have CSME. The left eye did have focal laser
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Large chronic choroidal nevus318 viewsAutofluorescence image shows guttering at the bottom of the lesion suggesting chronicity. This was documented 23 years prior to these photos
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Traction retinal detachment both eyes. Proliferative Diabetic Retinopathy317 views40 year old man came in with vision loss OD and rubeosis in both eyes. Was treated with Avastin monthly and laser OD then lost to follow-up for 6 months. Came back with table top traction in the left macula (second set of images). Vision had dropped OS from 20/20 to HM. He had PPV ERM peel OS and vision improved to 5/200.
OD stabilized to 20/20 with PRP laser. Now on 6 month checks.
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Elevated Episcleral Venous Pressure and Retinal Hemorrhages in both eyes317 views78 year old female with chronic red eye. The eyes are red all the time now. She is on Xeralto because of a history of blood clots in her lungs (2005 about). She has not had problems since. She has had floaters for many years. Ever since her eyes got funny she sees more floaters in both eyes. She had a brain scan over 6 months ago which was OK. She also had double vision when this first started which went away. She could not drive for a few months.
VA OD: Dcc20/32-1
VA OS: Dcc20/125
IOP: TP: OD:17 OS:16
Neuroimaging did not show a CC fistula
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Punctate Inner Choroidopathy and Choroidal Neovascular Membrane (CNVM)317 views24 year old female She was doing fine until 4 days ago when the right eye fogged up on her. The left eye is seeing fine. In the end of January (3 months ago) she went to the doctor and got checked for everything and it was negative. She had a bad cough at the time and no fevers that she knows of. Â
VA OD: sc20/200+1, VA OS: sc20/25 - Uveitis work up was negative. VA improved to 20/40 with a single avastin treatment and then the patient was lost to follow-up
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Wet age-related macular degeneration - Classic Juxtafoveal Choroidal Neovascular Membrane317 views80 year old female with mild vision loss. 20/40 OD, 20/25 OS. Avastin controlled disease. VA improved to 20/25 after 2 injections. At 1 year she is getting every 2 months treatment
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Wet age-related macular degeneration - Classic Juxtafoveal Choroidal Neovascular Membrane317 views80 year old female with mild vision loss. 20/40 OD, 20/25 OS. Avastin controlled disease. VA improved to 20/25 after 2 injections. At 1 year she is getting every 2 months treatment
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Macular Scars from Presumed Ocular Histoplasmosis Syndrome317 views85 year old man
He sometimes sees double vision. When he sees people walking they are sometimes double for about 6 months.
VA OD: sc20/25 PH20/20 NccJ3
VA OS: sc20/20-2 NccJ2
IOP: TP: OD:12 OS:14
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Non-exudative wet AMD - OCT angiogram317 views85 year old female with minimal visual complaints.
VA OD: sc20/80+1 PHNI NccJ3
VA OS: sc20/40-2 PH20/32+1 NccJ3
IOP: TP: OD:14 OS:16
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Retinal Arterial Macroaneurysm treated with Laser317 views89 year old female with peripapillary CNVM treated with Lucentis. Vision was 20/25 OS 3 weeks ago. She noticed vision loss OS. Vision had dropped to 20/60. She had a fresh MA and was treated with laser.
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Retinal Arterial Macroaneurysm treated with Laser317 views89 year old female with peripapillary CNVM treated with Lucentis. Vision was 20/25 OS 3 weeks ago. She noticed vision loss OS. Vision had dropped to 20/60. She had a fresh MA and was treated with laser.
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Asymptomatic exudative wet age-related macular degeneration317 views78 year old man with scar in the left eye being treated regularly and returns with new lesions in the right eye which is not symptomatic. Vision is 20/25 right eye and 20/125 left eye. The lesion was treated and responded to anti-VEGF therapy
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Asymptomatic exudative wet age-related macular degeneration317 views78 year old man with scar in the left eye being treated regularly and returns with new lesions in the right eye which is not symptomatic. Vision is 20/25 right eye and 20/125 left eye. The lesion was treated and responded to anti-VEGF therapy
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Severe Syphilitic Placoid Chorioretinitis317 views68 year old man 3 months ago the vision started fading in both eyes. Just sitting here he can see some light out of his right eye. The patient denies any recent illness or travel.
VA: OD: LP, OS: 4/200
IOP: 9, 13
Anterior segment: 1+ cell/ 2+ flare OU and 2+ NS and anterior vitreous cells
Labs Reactive RPR 1:256, FTA-ABS - reactive - Patient was admitted to hospital for IV PCN and recovered vision almost completely in the left eye and some in the right eye.
See line scans for recovery
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Severe Syphilitic Placoid Chorioretinitis317 views68 year old man 3 months ago the vision started fading in both eyes. Just sitting here he can see some light out of his right eye. The patient denies any recent illness or travel.
VA: OD: LP, OS: 4/200
IOP: 9, 13
Anterior segment: 1+ cell/ 2+ flare OU and 2+ NS and anterior vitreous cells
Labs Reactive RPR 1:256, FTA-ABS - reactive - Patient was admitted to hospital for IV PCN and recovered vision almost completely in the left eye and some in the right eye.
See line scans for recovery
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Combined hamartoma of the retina and retinal pigment epithelium317 views8 year old boy failed vision screening at school. VA 20/20 OD, 20/40 OS
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Punctate inner choroidopathy and CNVM317 views23 year old female noticed vision loss for 4 days.
VA 20/200 OD, 20/25 OS.
VA improved one month later to 20/40 with Avastin. She received a second injection and was lost to follow-up
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Punctate inner choroidopathy and CNVM317 views23 year old female noticed vision loss for 4 days.
VA 20/200 OD, 20/25 OS.
VA improved one month later to 20/40 with Avastin. She received a second injection and was lost to follow-up
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Acute Syphilitic Posterior Placoid Chorioretinitis317 views40 year old man About 10 days ago the patient woke up with a dark circle in the middle of the left eye that blocks his vision. He thought it might be from fatigue. The month of March was very stressful. After a few days the spot in the left eye got darker and he could not drive at night. During the last week while not going to work and sleeping more his vision is better but not normal. He has never had vision loss in the past. Â
PMHx: Benign, Meds: Multivitamin
VA OD: sc20/16 NscJ1+VA OS: sc20/32+2 NscJ4
IOP: TP: OD:12 OS:12
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Choroidal Hemorrhage following intraocular lens exchange surgery317 views68 year old man Patient is 1 week post IOL exchange with sutured Akreos PCIOL with PST Kenalog. IOP was 12 on POD 1 and 21 today (POD 7). Preop the IOP was 17.
He has a history of retinal detachment repair 12 years ago with PPV, Buckle, Laser and Gas.
VA OD: 20/200, OS: 20/50. IOP 21, 19
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Pigment epithelial detachment with cholesterol crystals317 viewsOnion sign
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Macular pucker in the left eye317 viewsVision was 20/125 pre-op and 20/25 post-op.
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CNV outcomes316 viewsFibrotic scar in choroidal neovascularization after anti-VEGF treatmnet
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316 views
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Punctate Inner Choroidopathy and Choroidal Neovascular Membrane (CNVM)316 views24 year old female She was doing fine until 4 days ago when the right eye fogged up on her. The left eye is seeing fine. In the end of January (3 months ago) she went to the doctor and got checked for everything and it was negative. She had a bad cough at the time and no fevers that she knows of. Â
VA OD: sc20/200+1, VA OS: sc20/25 - Uveitis work up was negative. VA improved to 20/40 with a single avastin treatment and then the patient was lost to follow-up
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Wet age-related macular degeneration - Classic Juxtafoveal Choroidal Neovascular Membrane316 views80 year old female with mild vision loss. 20/40 OD, 20/25 OS. Avastin controlled disease. VA improved to 20/25 after 2 injections. At 1 year she is getting every 2 months treatment
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Idiopathic Intracranial Hypertension - Papilledema316 views37 year old obese female Was on for an eye examination and a problem was noted. Her vision is normal. She has mild headaches which are from TMJ.
PMhx: Polycystic Ovary Syndrome (not diabetic)
Meds: Metformin, Vitamin D, Spironolactone
VA 20/12 OD, 20/16 OS
Opening ICP on spinal tap was 30 CM water.
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Choroidal Neovascular Membrane (CNVM) secondary to laser scar from TTT for choroidal melanoma 20 years earlier316 views71-year old female - Vision loss in the right eye for 1 week. She had transpupillary thermotherapy 20 years ago in the right eye for choroidal melanoma.
VA 4/200 OD, 20/20 OS
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Choroidal Neovascular Membrane (CNVM) secondary to laser scar from TTT for choroidal melanoma 20 years earlier316 views71-year old female - Vision loss in the right eye for 1 week. She had transpupillary thermotherapy 20 years ago in the right eye for choroidal melanoma.
VA 4/200 OD, 20/20 OS
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Torpedo Maculopathy - Small Lesion316 viewsAsymptomatic 77 year old female
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Age-related macular degeneration - Geographic Atrophy - Intermittent CME left eye from CRVO, Anemia, Diabetes316 views79 year old female - 3 years post CRVO in the left eye (20/32 VA) with intermittent CME. Left eye is the better eye. Vision is stable since 2 years ago
PMHx: Type II DM x 20 years, Chronic Anemia, Hyperlipidemia
VA 20/200 OD, 20/50 OS (usually 20/40)
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Central Serous Chorioretinopathy in a child316 views12-year-old African American Female A few weeks ago she felt like something was covering the right eye and she couldn't see well. She was told that she had a swollen optic nerve. She had a recent diagnosis of sinus infection. She also recently had onset menarche on August 7th. Eye problem started about a week before menarche. She's been getting some headaches, partly because of sinus infection. They started about a month ago and now are getting better. She is on zytrhomax for the sinus problem. Patient is hypothyroid and is on thyroid supplementation and that has been stable. She has no eye pain.
MEDS: Synthroid, Flonase
PMHx - Thyroid Disease
VA OD: Dcc20/400 PH20/125 NccJ10
VA OS: Dcc20/20 NccJ1+
IOP: TP: OD:14 OS:21
Macular detachments resolved in 1 month with no treatment and vision returned to 20/20 in one month and 20/16 in 2 months
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Macular Scars from Presumed Ocular Histoplasmosis Syndrome316 views85 year old man
He sometimes sees double vision. When he sees people walking they are sometimes double for about 6 months.
VA OD: sc20/25 PH20/20 NccJ3
VA OS: sc20/20-2 NccJ2
IOP: TP: OD:12 OS:14
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Retinal Arterial Macroaneurysm treated with Laser316 views89 year old female with peripapillary CNVM treated with Lucentis. Vision was 20/25 OS 3 weeks ago. She noticed vision loss OS. Vision had dropped to 20/60. She had a fresh MA and was treated with laser.
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Retinal Arterial Macroaneurysm treated with Laser316 views89 year old female with peripapillary CNVM treated with Lucentis. Vision was 20/25 OS 3 weeks ago. She noticed vision loss OS. Vision had dropped to 20/60. She had a fresh MA and was treated with laser.
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Asymptomatic exudative wet age-related macular degeneration316 views78 year old man with scar in the left eye being treated regularly and returns with new lesions in the right eye which is not symptomatic. Vision is 20/25 right eye and 20/125 left eye. The lesion was treated and responded to anti-VEGF therapy
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Cilioretinal Artery Occlusion - non central316 views81 year old female She noticed sudden vision loss in the right eye just before Christmas while watching television. This was about one week ago. She noticed when she closed her left eye and looked out of her right eye there was a darkness in the vision. The left eye is OK. She has no history of stroke and no neurological problems. She had a few headaches recently but they went away. Â
PMHx: HTN, Breast Cancer
Meds: HCTZ, Atorvastatin, Atenolol, Anastrozole
VA 20/80 OD, 20/32 OS
VA improved to 20/40 in one month in the involved eye
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Sticklers syndrome with Pierre Robin Sequence316 views9 year old child with father who had retinal detachment at age 10. History of cleft palate repair and teeth removal. VA 20/40 OU. Images show perivascular RPE and retinal changes especially nasally
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Sticklers syndrome with Pierre Robin Sequence316 views9 year old child with father who had retinal detachment at age 10. History of cleft palate repair and teeth removal. VA 20/40 OU. Images show perivascular RPE and retinal changes especially nasally
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Presumed ocular histoplasmosis syndrome and CNVM - responded to Avastin316 views62 year old female with 3 days of vision loss in the right eye. Vision is 20/40 OD, 5/200 OS. Left eye had been treated years ago elsewhere. She grew up in the Mississippi River valley.
She was treated with Avastin and the vision improved to 20/20 in 4 months. She continues, 3 years later, on every 2 months Avastin.
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Severe diabetic tractional retinal detachment one year following diagnosis of type II Diabetes Mellitus316 views44 year old man The vision in the left eye started to decline about 4 days ago. Prior to that the left eye was the better eye. He was diagnosed with diabetes a year ago.Â
VA OD: Dcc20/50-1 OS: Dcc20/125-2, TP: OD:12 OS:13
Following two surgeries in each eye, silicone oil remaining forever, monthly anti-VEGF for severe DME - BCVA OU 20/200 at 3 years
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Severe diabetic tractional retinal detachment one year following diagnosis of type II Diabetes Mellitus316 views44 year old man The vision in the left eye started to decline about 4 days ago. Prior to that the left eye was the better eye. He was diagnosed with diabetes a year ago.Â
VA OD: Dcc20/50-1 OS: Dcc20/125-2, TP: OD:12 OS:13
Following two surgeries in each eye, silicone oil remaining forever, monthly anti-VEGF for severe DME - BCVA OU 20/200 at 3 years
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